Professional Disclosure Statement

Kagan Young, Professional School Counselor

Philosophy and Approach
I believe that every student is capable of thriving within our school community. I strive to foster the
growth of students individual strengths, while exploring their growing edges with excitement,
compassion and insight. Ultimately, your student and I will work towards their social, academic,
personal and career goals.
I approach counseling with the belief that we are all moving towards health, and occasionally we are
faced with obstacles that we must work through. My role as the counselor is to work with the student
to help them become aware of these obstacles and navigate through them on the path towards physical
and mental health. I frame this role through an integrative approach to therapy. This means that I will
draw from a variety of counseling approaches when working with students. Using Cognitive
Behavioral methods, we will work to identify problems together and develop strategies to address
them. Using Mindfulness strategies, we will work to acknowledge and accept challenging emotions
and anxiety as a part of life.
I strongly believe that by using a variety of approaches, students will have the opportunity to decide
what works best for them. As the counselor I will work hard to develop a trusting relationship with
each student that allows them to explore, and ultimately be successful in their academic, career and
personal endeavors.
Services Provided
As a school counselor I follow the American School Counseling Association (ASCA) National Model.
This includes a comprehensive program aimed at building a positive school environment that allows all
students to achieve social and academic success. In addition to this program, I am also available to
meet with students or families individually to address questions or concerns that arise. From these
meetings I am able to make referrals to outside counselors or agencies if further support is needed.
I will also utilize small group counseling sessions to bring together students that have similar concerns.
I hold drop-in hours for students who want to address issues or just sit down for a break and a chat.
I also provide support to parents and their concerns regarding the academic, social and physical health
of their student. Additionally I can help in working through and providing resources to deal with
individual, family or community crisis.
Formal Education and Training
I received a Masters Degree in School Counseling from Portland State University. My areas of focus at
Portland State included Human Development, Counseling Theories and Skills, Counseling Youth in
Schools, and Counseling Ethics and Diagnosis and Treatment Planning. My Bachelors degree is in
International Development with a focus on Latin America.

Your Rights and Responsibilities

As a licensed school counselor I will abide by its Code of Ethics. A copy of the statement of the Code
of Ethics is available upon request. This document informs you of acceptable counselor practices and
expected behavior.

As a client of an Oregon Registered Intern you have the following rights:

To expect that a licensee has met the minimal qualifications of training and experience
required by state law:
To examine public records maintained by the Board and to have the Board confirm
credentials of a licensee;
To obtain a copy of the Code of Ethics;
To report complaints to the Board;
To be informed of the cost of professional services before receiving the services;
To be assured of privacy and confidentiality while receiving services as defined by rule
and law, including the following exceptions: 1) Reporting suspected child abuse; 2)
Reporting imminent danger to client or others; 3) Reporting information required in
court proceedings or by clients insurance company, or other relevant agencies; 4)
Providing information concerning licensee case consultation or supervision; and 5)
Defending claims brought by client against licensee;
To be free from discrimination because of age, color, culture, disability, ethnicity,
national origin, gender, race, religion, sexual orientation, marital status, or
socioeconomic status.

For additional information you may contact the American School Counselor Association at:
1101 King St., Suite 310, Alexandria, VA 22314. Telephone: (800) 306-4722. Web:
asca@schoolcounselor.org.
You may also contact the Board of Licensed Professional Counselors and Therapists at
3218 Pringle Rd SE #250, Salem, OR 97302-6312. Telephone: (503) 378-5499
Email: lpc.lmft@state.or.us Website: www.oregon.gov/OBLPCT
If your child has been screened for participation in a small group or individual counseling, parent
consent is required. Counseling is based on a trusting relationship between counselor and student, so
information shared in counseling is confidential, except in certain situations where there is an ethical
responsibility to limit confidentiality and you will be notified. These situations are:

If the student reveals he or she is being harmed or harming another person;

If the student reveals information about child abuse; or

If the counselor's records are subpoenaed by the courts.

I have read and understand this Professional Disclosure Statement, and any questions I had have been
answered. You as the student, parent(s) or guardian(s) understand your rights, and your signature
indicates that you are consenting for treatment from the date this document is signed and that you have
received a copy of this disclosure statement.
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Student Signature
Date
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Parent/Guardian Signature
Date
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Counselor Signature
Date